If you're a first-time client, please review and complete the following forms, bring them to your first session.
- Limits of Confidentiality/Cancellation Policy Form
If you would like us to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:
- Consent to Release Information Form
|Confidentiality and Cancellation Policy|
|Consent to Release|
Note: To download Adobe Acrobat Reader for free, click here.
Kelly is supervised by a fully licensed psychologist under the State of Michigan law by Bruce Fowler, Psy.D. A Michigan limited license permits practice under the supervision of a Michigan licensed psychologist.